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Only the hospice doctor and the primary care doctor can certify that someone is terminally ill with a life expectancy of six months or less, says Medicare. A nurse practitioner, by contrast, cannot certify that someone is terminally ill. There is no age restriction when it comes to who qualifies for hospice: anyone in the last stages of life can qualify. Other considerations that must be met include:

The patient and family must be able to fully understand the prognosis and agree to seek palliative (also known as comfort) care instead of seeking a cure.
Patient and family must provide informed consent.
Patient and family must choose the hospice benefit by completing and signing an election form, according to CMS.gov.
As part of determining eligibility, the doctors must first evaluate the patient for pain and symptom management, counsel the patient on hospice and any other options available to him or her, and advise the patient on advanced care planning. The patient must be determined to have a terminal illness with a prognosis of less than six months to live. It's important to note, however, that a person who shows marked improvement throughout hospice may exit hospice at any time. Likewise, any patient who decides to re-visit the possibility of curative measures can do so at any time.

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